Rachel Lauren Burgess, APRN, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Valliant, OK
NPI 1235637893 · NPPES record last updated Aug 22, 2022
Key facts
- NPI
- 1235637893
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 99969 (OK)
- Practice address
- 508 E Wilson St
Valliant, OK 74764-9115 - Phone
- (580) 933-9025
- Fax
- (833) 382-0111
- NPI assigned
- Jan 30, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
508 E Wilson St
Valliant, OK 74764-9115
Phone (580) 933-9025
Hospital & facility affiliations
- A Path of Care Tendercare Home Health
- Complete Home Health of Tishomingo LLC
- Paris Regional Medical Center
- McCurtain Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180323000381 | OK | Practitioner - Nurse Practitioner | 9234491622 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 99969 | OK | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Burgess Imaging, LLC | Current |
Accepting new patients | |
| Burgess Family Healthcare, LLC | Current |
Accepting new patients |
Locations
101 E Terri Dr
Valliant, OK 74764
Phone (580) 933-9025
508 E Wilson St
#B
Valliant, OK 74764
Phone (833) 581-7433
508 E Wilson St
Valliant, OK 74764
Phone (580) 743-6553
Interoperability endpoints
- burgessfamilyhealthcare.rachelburgess@142191.advancedmd-direct.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 99969 | OK | Yes |
Addresses
Primary practice location
508 E Wilson St
Valliant, OK 74764-9115
Mailing address
101 E Terri Dr
Valliant, OK 74764-6801
Phone (580) 933-9024
Other providers in Valliant, OK
- Justin Black
- Bolton Drug & Jewelry
- Lauren Diane Box
- Burgess Family Healthcare, LLC
- Burgess Imaging, LLC
- Lydia Cantrell
- Amy Causey
- Kayli Breanne Clift
- Amanda Colson
- Frank Dewayne Coolbroth II
All providers in Valliant, OK · Family Nurse Practitioner in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.